Provider Demographics
NPI:1649722943
Name:DECATUR HOSPITAL AUTHORITY
Entity type:Organization
Organization Name:DECATUR HOSPITAL AUTHORITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:SCROGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-900-4348
Mailing Address - Street 1:701 W BENNETT ROAD
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-3817
Mailing Address - Country:US
Mailing Address - Phone:940-626-2800
Mailing Address - Fax:940-626-2801
Practice Address - Street 1:701 W BENNETT ROAD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-3817
Practice Address - Country:US
Practice Address - Phone:940-626-2800
Practice Address - Fax:940-626-2801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-03
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility